scholarly journals Preventive Services Utilization Among Cancer Survivors Compared to Cancer-free Controls

2018 ◽  
Vol 11 (1) ◽  
pp. 122-133
Author(s):  
Annemarie Uhlig ◽  
Johannes Uhlig ◽  
Arne Strauss ◽  
Lutz Trojan ◽  
Joachim Lotz ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Influenza Vaccination ◽  
Bone Densitometry ◽  
Meta Analysis ◽  
Blood Pressure Measurement ◽  
Preventive Services ◽  
Services Utilization ◽  
Underlying Mechanisms ◽  
Lipid Testing ◽  
To Receive

Purpose:To summarize the current evidence on preventive services utilization in cancer survivors.Methods:A systematic literature review and meta-analysis was conducted in February 2016. Studies were included if they compared the utilization of influenza vaccination, cholesterol/lipid testing, bone densitometry, or blood pressure measurement among survivors of adulthood cancer to cancer-free controls. Random effects meta-analyses were conducted to pool estimates.Results:Literature search identified 3740 studies of which 10 fulfilled the inclusion criteria. Cancer survivors were significantly more likely to utilize bone densitometry (OR=1.226, 95% CI: 1.114 – 1.350, p<0.001) and influenza vaccination (OR=1.565, 95% CI: 1.176 – 2.082, p=0.002) than cancer-free controls. No statistically significant differences were detected for blood pressure measurement and cholesterol/lipid testing (OR=1.322, 95% CI: 0.812 – 2.151, p=0.261; OR=1.046, 95% CI: 0.96 – 1.139, p=0.304).Conclusions:Cancer survivors were more likely to receive influenza vaccinations and bone densitometry. Future studies should evaluate underlying mechanisms and whether the utilization of preventive services translates into prolonged survival of cancer survivors.Implications for Cancer Survivors:Our meta-analysis demonstrated cancer survivors to be more likely to receive the preventive services such as influenza vaccination and bone densitometry than cancer free controls. Still, these results should be interpreted in the context of suboptimal utilization of preventive services in general, and for cancer survivors in specific. Future research should evaluate the underlying mechanisms and whether utilization of preventive services is associated with overall survival in cancer survivors.

Recommended healthcare among elderly cancer survivors

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6045-6045
Author(s):  
A. M. McBean ◽  
X. Yu ◽  
B. A. Virnig
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Influenza Vaccination ◽  
Diabetes Care ◽  
Preventive Services ◽  
Cancer Type ◽  
Elderly Persons ◽  
Eye Examination ◽  
To Receive ◽  
Recommended Services

6045 Background: Earle and colleagues (2003, 2004) have published conflicting information regarding recommended services among cancer survivors: breast cancer survivors had higher rates than persons without cancer (2003); and colorectal cancer survivors had lower rates (2004). We examined the use of preventive services and recommended diabetes care in 1999–2002 among elderly Medicare beneficiaries who were long-term survivors of 5 different types of cancer: bladder, breast, colorectal, prostate and uterine. Methods: Retrospective cohort analysis using the linked SEER/Medicare database of beneficiaries living in the SEER areas of the NCI who survived 5 years after bladder, breast, colorectal, prostate or uterine cancer diagnosis and a 5% random sample of beneficiaries with no cancer history residing these areas. We compared the rates of influenza vaccination and breast cancer screening, as well as diabetes care services: hemoglobin A1c (HbA1c) testing, eye examination, and lipid testing. Crude and multivariate adjusted rates were calculated and compared. Results: In 1999 through 2002, depending on the cancer type and year, cancer survivors were between 20 and 50% more likely to receive influenza vaccine or mammograms than persons who never had cancer (women with breast cancer excluded). Among those cancer survivors with diabetes, the rates of annual HbA1c testing or eye examination were 1 to 16% greater in all years than among those without cancer, p < 0.05, when adjusted for age-group, gender (if needed), and race. Differences in the serum lipid level determination rates were even smaller or not significant (p ≥ 0.05) between the cancer survivors and controls. Interestingly, depending on the cancer type, the rates of influenza vaccination and mammography were up to 30% higher among cancer survivors with diabetes than in survivors who did not have diabetes. Multivariate models that included other sociodemographic variables, comorbities and other relevant covariates confirmed these findings. Conclusions: Elderly persons who have survived cancer were generally more likely to receive preventive and other recommended services compared with those without cancer. The presence of another chronic disease such as diabetes, may enhance the use of preventive services. No significant financial relationships to disclose.

Quality of Non–Breast Cancer Health Maintenance Among Elderly Breast Cancer Survivors

2003 ◽  
Vol 21 (8) ◽  
pp. 1447-1451 ◽  
Author(s):  
Craig C. Earle ◽  
Harold J. Burstein ◽  
Eric P. Winer ◽  
Jane C. Weeks
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Preventive Services ◽  
High Quality ◽  
Health Maintenance ◽  
To Receive

Purpose: To assess the quality of preventive health care, the role of health care participation, and the patient and provider characteristics associated with high-quality care for breast cancer survivors. Methods: We analyzed the 1997 to 1998 Medicare data of elderly women who were diagnosed with nonmetastatic breast cancer in 1991 or 1992 while living in a Survival, Epidemiology, and End Results (SEER) tumor registry area and who survived to the end of 1998 without evidence of cancer recurrence. Controls were matched for age, race, and geographic location. Results: The 5,965 breast cancer survivors received more preventive services (influenza vaccination, lipid testing, cervical and colon screening, and bone densitometry) than matched controls. Among both groups, those who were younger, non–African-American, of higher socioeconomic status, living in urban areas, and receiving care in a teaching center were most likely to receive high-quality health maintenance. Those survivors who continued to see oncology specialists were more likely to receive appropriate follow-up mammography for their cancer, but those who were monitored by primary care physicians were more likely to receive all other non–cancer-related preventive services. Those who saw both types of practitioners received more of both types of services. When the control group was restricted only to women actively undergoing mammographic screening before the study period, receipt of preventive services was similar. Conclusion: Breast cancer survivors receive high-quality preventive services, but disparities on the basis of nonmedical factors still exist. Cancer follow-up may provide regular contact with the health system, maximizing the likelihood of receiving appropriate general medical care.

Abstract P535: Receipt of Preventive Health Services Among Current Marijuana Users

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Emily Lum ◽  
Sri Lekha Tummalapalli ◽  
Meena Khare ◽  
Salomeh Keyhani
Keyword(s):  
Cardiovascular Risk ◽  
Health Services ◽  
Influenza Vaccination ◽  
Preventive Health Services ◽  
Preventive Services ◽  
Preventive Health ◽  
Cardiovascular Risk Reduction ◽  
The Past ◽  
Health Related ◽  
To Receive

Introduction: The associations between marijuana use and various health-related behaviors, including receipt of preventive health services, have not been widely examined. Hypothesis: Given the known adverse cognitive effects of tetrahydrocannabinol (THC), we hypothesized that current marijuana users were less likely than non-users to receive recommended preventive health services. Methods: The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing telephone survey that collects data on health-related risk behaviors, chronic health conditions, and use of preventive services by non-institutionalized U.S. adults ≥18 years of age from the 50 U.S. states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and Palau. In 2017, there were 10 U.S. states that administered the BRFSS Marijuana Module. We identified survey respondents that were eligible for receipt of each recommended preventive health service. Using chi square statistics, we examined the rates of receipt of recommended preventive services among eligible users compared to non-users in these 10 states. Results: In 2017, among 45,655,241 participants, 10.7% used marijuana in the past 30 days, and 69.3% of those used it daily. The predominant method of marijuana use was smoking (90.4%). Compared to non-users, marijuana users were more likely to be 18-29 years of age (39.7% vs 17.4%, p<0.0001) and male (61.6% vs 46.4%, p<0.0001). Marijuana users were less likely to be Hispanic (18.2% vs 21.5%) or Asian, Native Hawaiian, or Pacific Islander (5.3% vs 9.5%) compared to non-users (p<0.0001). Participants who used marijuana were more likely to be employed (63.8% vs 56%) and to have graduated high school (28.8% vs 24.8%) compared to those who did not use marijuana (p<0.0001). Marijuana users were less likely than non-users to be married (27.9% vs 54%, p<0.0001). Among all participants, fewer marijuana users than non-users received an influenza vaccination within the past year (25.4% vs 41.5%, p<0.0001). Additionally, among age-eligible participants, those who used marijuana were less likely to have received serum cholesterol screenings in the past five years (79.5% vs 83%) and regularly take aspirin as a method of cardiovascular risk reduction (36.6% vs 44.9%) compared to non-users (p<0.0001). Among participants with diabetes, fewer marijuana users received an eye examination (48.8% vs 57.8%) or an influenza vaccination (35.9% vs 56.9%) within the last year compared to non-users (p<0.0001). Conclusion: Marijuana users were less likely to receive an influenza vaccination and preventive services recommended for cardiovascular risk reduction. Users may need more targeted interventions to receive needed care.

Preventive Care for Colorectal Cancer Survivors: A 5-Year Longitudinal Study

2008 ◽  
Vol 26 (7) ◽  
pp. 1073-1079 ◽  
Author(s):  
Claire F. Snyder ◽  
Craig C. Earle ◽  
Robert J. Herbert ◽  
Bridget A. Neville ◽  
Amanda L. Blackford ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cervical Cancer ◽  
Longitudinal Study ◽  
Cancer Screening ◽  
Cancer Survivors ◽  
Influenza Vaccination ◽  
Cervical Cancer Screening ◽  
Preventive Care ◽  
To Receive ◽  
Over Time

Purpose To explore the mix of physician specialties that long-term survivors visit and how the mix relates to preventive care. Patients and Methods Using the Surveillance, Epidemiology, and End Results–Medicare database, we conducted a retrospective, longitudinal study of stage I to III Medicare fee-for-service colorectal cancer patients diagnosed in 1997. We examined physician visits and preventive care each year for 5 years, starting 366 days postdiagnosis, and how preventive service receipt related to the physician mix seen: primary care provider (PCP) only, oncologist only, both, or neither. Results A total of 1,541 patients met the eligibility criteria (mean age, 76; 43% male; 85% white). During 5 years, PCP visits increased from a mean of 4.2 to 4.7 (P < .0001), and oncology visits decreased from 1.3 to 0.5 (P < .0001). Survivor care by PCPs only increased from 44% to 62%, whereas shared care by PCPs and oncologists dropped from 37% to 21% (P < .0001). Survivors who saw both PCPs and oncologists were most likely to receive influenza vaccination, mammograms, and cervical cancer screening; survivors who saw PCPs only were most likely to receive cholesterol screening and bone densitometry. Higher socioeconomic status was associated with increased influenza vaccination, mammograms, and cervical cancer screening (P < .05). Over time, there was a decrease in mammography and cervical cancer screening and an increase in influenza vaccination (P < .05). Conclusion As oncologists become less involved in survivor care, cancer-related screening decreases significantly. These results support the need for survivorship care plans that explicitly outline the roles of PCPs and oncologists in sharing care for cancer survivors, and how these roles may change over time.

scholarly journals 306 - Loneliness and mortality in older adults and the role of depression

2020 ◽  
Vol 32 (S1) ◽  
pp. 64-64
Author(s):  
T.J. Holwerda ◽  
D. Rhebergen ◽  
H.C. Comijs ◽  
J.J.M. Dekker ◽  
M.L. Stek
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Mortality Risk ◽  
Meta Analysis ◽  
Clinical Perspective ◽  
Cross Sectional ◽  
Mediating Role ◽  
Underlying Mechanisms ◽  
Dexamethasone Suppression

Background:The prevalence of loneliness increases with age. The presence of loneliness in older adults has been found to be associated with health problems such as depression, decreased cognitive functioning, increases in systolic blood pressure and increased mortality. The underlying mechanisms of the higher mortality risk are largely unknown.Methods:Meta-analysis to investigate the present evidence for the associations between loneliness and mortality. Cross-sectional studies investigating the associations between loneliness and cardiovascular disease and between loneliness and cortisol in 378 depressed and 132 non-depressed older adults.Results:Loneliness appears to be associated with increased mortality, although when only studies are included that consider depression as a covariate, the association is not significant. Therefore it seems likely that depression plays a mediating role in the higher mortality risk.We did not find a significant association between loneliness and cardiovascular disease. In contrast, loneliness was significantly associated with lower cortisol output and decreased dexamethasone suppression.Discussion:The results and their implications for prevention and treatment will be discussed from a clinical perspective as well as a general health perspective. Is loneliness as potentially dangerous as depression?

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